Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | OI60820564 | WA |
N | 222Z00000X | Podiatrist | OI60820564 | WA |
Y | 224P00000X | Prosthetist | PS60732343 | WA |
NPI | 1083110431 |
---|---|
Provider Name | George Eli Kaufman |
First Address | Burien, WA 98166-1342 |
Second Address | Seattle, WA 98108-1532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2018 |
Last Update Date | 04/04/2018 |